board of health net levy requirement...2018 actuals proposed 2021 haldimand-norfolk health unit...
TRANSCRIPT
HALDIMAND-NORFOLK HEALTH UNIT
BOARD OF HEALTH
PROPOSED 2021 HALDIMAND-NORFOLK
HEALTH UNIT OPERATING BUDGETTABLE OF CONTENTS
HALDIMAND-NORFOLK HEALTH UNIT OPERATING BUDGET Haldimand-Norfolk Health Unit Summary .............................................................................................................................. 1 Ministry of Health Programs .................................................................................................................................................. 3 Ministry of Children, Community and Social Services Programs ........................................................................................... 7 COVID-19 Public Health Programs ..................................................................................................................................... 10
HALDIMAND-NORFOLK HEALTH UNIT INITIATIVES Board of Health Approved Initiatives ................................................................................................................................... 14
Haldimand-Norfolk Health Unit
Ministry of Health Programs 1,600,000 1,705,400 (115,500) 1,589,900 (10,100) (0.6) 895,600 1,311,475 1,181,331
Ministry of Children, Community and Social 31,900 26,100 26,100 (5,800) (18.2) 20,300 123,657 40,868
COVID-19 Public Health Programs 1,099,600 1,099,600 1,099,600 100.0
Total Haldimand-Norfolk Health Unit 1,631,900 1,731,500 984,100 2,715,600 1,083,700 66.4 916,000 1,435,132 1,222,199
TOTAL 1,631,900 1,731,500 984,100 2,715,600 1,083,700 66.4 916,000 1,435,132 1,222,199
2020
APPROVED
BUDGET
2021
Adjusted
Budget
BAIs
& NBIs
2021
PROPOSED
BUDGET
2021
Budget $
Incr/(Decr)
2021
Budget %
Incr/(Decr)
2020
Forecasted
Actuals
2019
Actuals
2018
Actuals
PROPOSED 2021 HALDIMAND-NORFOLK HEALTH UNIT OPERATING BUDGETHaldimand-Norfolk Health Unit
BOARD OF HEALTH NET LEVY REQUIREMENT
BUDGET ACTUALS
1
EXPENDITURES
Salaries & Benefits 6,006,700 6,129,700 2,157,900 8,287,600 2,280,900 38.0 4,200,200 7,572,195 7,371,678
Materials & Supplies 389,300 363,500 72,600 436,100 46,800 12.0 206,800 381,059 436,708
Services 813,400 818,500 130,000 948,500 135,100 16.6 446,300 281,031 377,206
Transfer Payments/Grants 0 0 0 0 0 0.0 0 0 2,975
Interdepartmental Charges 2,737,000 2,760,300 0 2,760,300 23,300 0.9 1,376,100 1,595,293 1,522,984
Financial (96,400) 3,400 0 3,400 99,800 103.5 800 648 35,674
Capital 0 0 0 0 0 0.0 0 13,181 63,136
TOTAL EXPENDITURES 9,850,000 10,075,400 2,360,500 12,435,900 2,585,900 26.3 6,230,300 9,843,407 9,810,361
REVENUES
Federal/Provincial Grants (6,972,700) (6,989,800) (696,000) (7,685,800) 713,100 10.2 (4,606,600) (7,305,263) (7,509,199)
Fees & Service Charges (99,100) (80,700) 0 (80,700) (18,400) (18.6) (60,000) (69,177) (167,408)
Interdepartmental Recoveries 0 (48,900) 0 (48,900) 48,900 100.0 0 0 0
Other Revenues (27,100) (27,300) 0 (27,300) 200 0.7 (14,400) (49,462) (40,772)
TOTAL REVENUES (7,098,900) (7,146,700) (696,000) (7,842,700) 743,800 10.5 (4,681,000) (7,423,902) (7,717,379)
NET LEVY REQUIREMENT 2,751,100 2,928,700 1,664,500 4,593,200 1,842,100 67.0 1,549,300 2,419,505 2,092,982
HALDIMAND SHARE 1,119,200 1,197,200 680,400 1,877,600 758,400 67.8 633,400 984,372 870,778
NORFOLK SHARE 1,631,900 1,731,500 984,100 2,715,600 1,083,700 66.4 915,900 1,435,133 1,222,204
STAFFING COMPLEMENT 59.55 59.55 22.80 82.35 22.80
2020
APPROVED
BUDGET
2021
Adjusted
Budget
BAIs
& NBIs
2021
PROPOSED
BUDGET
2021
Budget $
Incr/(Decr)
2021
Budget %
Incr/(Decr)
2020
Forecasted
Actuals
2019
Actuals
2018
Actuals
PROPOSED 2021 HALDIMAND-NORFOLK HEALTH UNIT OPERATING BUDGETHaldimand-Norfolk Health Unit
BUDGET ACTUALS
DEPARTMENT SUMMARY
2
PROPOSED 2021 BOARD OF HEALTH OPERATING BUDGET Ministry of Health Programs
PROGRAM SUMMARY
PROGRAM FUNCTION/SERVICES 1. The Haldimand-Norfolk Health Unit (HNHU) obtains its legal authority under the Health Protection and Promotion Act (HPPA) 2. The HPPA specifies the organization and delivery of public health in Ontario and sets expectations for Boards of Health to oversee,
provide or ensure the provision of public health programs and services, its regulations and in the Ontario Public Health Standards published by the Minister of Health
3. Funding for the Health Unit is provided through a combination of Ministry of Health (MOH) and municipal levy contributions; in exchange for funding, the Board of Health commits to deliver services defined in the Accountability Agreement
PERFORMANCE MEASURES
Measurable Service 2018 2019 2020 as of Sept 30 Pregnant mothers and support people attending prenatal classes 104 194 40
Baby-Friendly Initiative (BFI) progress Advanced Status Successful
Achievement Maintenance
Parent/Caregiver Consultations at Well Baby Drop-ins 748 716 99 Children received dental screening 4,406 2,531 1464 Contacts made with high school students by a Public Health Nurse 466 254 119 Food inspections (does not include special events) 1,240 819 315 Recreational water inspections 89 56 20 Seasonal housing inspections (includes virtual inspections) 643 425 286 Doses of Influenza vaccine administered 229 4 0 Daycare facilities inspections 31 15 9 Institutional food inspections 122 77 31 Residential facilities inspections 3 2 1 Diseases of Public Health significance investigated 579 446 327 Institutional outbreaks other than COVID-19 46 29 18
PRIOR YEAR ACHIEVEMENTS
1. The Health Unit submitted its third Annual Service Plan and Budget Submission to the Ministry of Health 2. Successful grant acquisition from the Public Health Agency of Canada (PHAC), for Harm Reduction Surveillance Project
UPCOMING MAIN OBJECTIVES, INITIATIVES OR MILESTONES
1. Submission of the Health Unit Operational Plan and the MOH’s Annual Service Plan and Budget Submission 2. Submit evidence to the MOH demonstrating completion of the remaining 10 recommendations from the Organizational Audit 3. Develop HNHU Strategic Plan
3
PROPOSED 2021 BOARD OF HEALTH OPERATING BUDGET Ministry of Health Programs
PROGRAM SUMMARY
4. Implementation of grant funding from PHAC to develop a surveillance tool to track Substance Use Related Harms in the Haldimand-Norfolk counties
5. Continue to implement the Ontario’s Senior Dental Program and successfully renovate dental operatories in Simcoe and Dunnville office locations
MAIN BUDGET DRIVERS/SERVICE ENHANCEMENTS CAI HSS-650-2021-066 COVID-19 Response Team: Staff report HSS 20-21 presented to Board of Health on October 27th, 2020 outlined the initiative. Of the total $1,176,500 approved impact, $130,000 remains within the Ministry of Health programs for the ongoing maintenance of the Electronic Medical Records (EMR) system. The remaining costs and explanation can be found within COVID-19 Public Health programs. CAI HSS-650-2021-067 70/30 Cost Share Mitigation Funding: Staff report HSS 20-11 presented to Board of Health on November 3rd, 2020 outlined the initiative. In 2019 the MOH communicated that the cost share would be changing from a 75/25 funding model for Mandatory Programs and a 100/0 funding model for Related Programs to an overall 70/30 funding model. One-time mitigation funding was communicated during the 2020 budget development to offset the levy transition; however the allocation amount was unknown at that time. Funding of $325,400 has been included as a direct offset to the levy, with Norfolk’s share equal to $192,400. CAI HSS-650-2021-071 Harm Reduction Surveillance Project: Staff report HSS 20-26 will be presented to Board of Health on January 5th, 2021 and will outline the initiative. The Health Unit has successfully applied for a grant from the Public Health Agency of Canada for one-time funding that will support a 0.6 FTE to adapt a surveillance tool that will be used to track substance use related harms. The project is fully funded by the grant and is anticipated to end by March, 2022. Salaries & Benefits: The increase of $202,200 includes $75,000 for CAI-HSS-2021-071 as well as economic, merit and job evaluation increases Services: The increase of $135,300 is driven by CAI HSS-650-2021-066 Financial: The increase of $88,900 is a direct result of a budget option placeholder for savings that were estimated in 2020 based on the restructuring of the Health Unit that are not expected to be realized within the 2021 budget Federal/Provincial Grants: The increase of $422,500 is driven by CAI HSS-650-2021-067 and CAI HSS-650-2021-071 ($405,400) as well as increased 70/30 funding when compared to initial 2020 estimates ($14,700) Interdepartmental Recoveries: The $48,900 increase is a result of interdepartmental charges that are not directly charged to the Ministry of Children, Community and Social Services programs being charged to MOH programs
4
PROPOSED 2021 BOARD OF HEALTH OPERATING BUDGET Ministry of Health Programs
PROGRAM SUMMARY
CHALLENGES, EMERGING TRENDS, SERVICE ISSUES
1. Continued financial challenges with new funding formula and capped budgets for all mandatory and related programs 2. Public health modernization ‘paused’ during spring and may ‘reset’ with further discussions of public health modernization and health unit
amalgamation 3. Gas Wells – to continue to establish an understanding of the health implications from long-term exposure to hydrogen sulphide from gas
wells, and to develop standardized public health response plans for monitoring, reporting and remediating leaks 4. Current Seasonal Housing Guidelines are under revision and may require additional resources for implementation
5
EXPENDITURES
Salaries & Benefits 5,220,100 5,347,300 75,000 5,422,300 202,200 3.9 3,595,200 6,222,098 5,974,991
Materials & Supplies 336,400 314,700 5,000 319,700 (16,700) (5.0) 187,600 331,362 375,461
Services 796,600 801,900 130,000 931,900 135,300 17.0 436,500 255,190 353,891
Transfer Payments/Grants 0 0 0 0 0 0.0 0 0 2,975
Interdepartmental Charges 2,629,000 2,664,500 0 2,664,500 35,500 1.4 1,276,600 1,416,078 1,342,996
Financial (85,500) 3,400 0 3,400 88,900 104.0 800 648 29,699
Capital 0 0 0 0 0 0.0 0 13,181 48,404
TOTAL EXPENDITURES 8,896,600 9,131,800 210,000 9,341,800 445,200 5.0 5,496,800 8,238,557 8,128,417
REVENUES
Federal/Provincial Grants (6,080,600) (6,097,700) (405,400) (6,503,100) 422,500 6.9 (3,909,300) (5,927,720) (5,966,543)
Fees & Service Charges (99,100) (80,700) 0 (80,700) (18,400) (18.6) (60,000) (69,177) (135,526)
Interdepartmental Recoveries 0 (48,900) 0 (48,900) 48,900 100.0 0 0 0
Other Revenues (19,700) (19,900) 0 (19,900) 200 1.0 (12,600) (30,870) (19,689)
TOTAL REVENUES (6,199,400) (6,247,200) (405,400) (6,652,600) 453,200 7.3 (3,981,800) (6,027,767) (6,121,758)
NET LEVY REQUIREMENT 2,697,200 2,884,600 (195,400) 2,689,200 (8,000) (0.3) 1,515,000 2,210,790 2,006,659
HALDIMAND SHARE 1,097,200 1,179,200 (79,900) 1,099,300 2,100 0.2 619,400 899,315 825,328
NORFOLK SHARE 1,600,000 1,705,400 (115,500) 1,589,900 (10,100) (0.6) 895,600 1,311,475 1,181,331
STAFFING COMPLEMENT 51.45 51.45 0.60 52.05 0.60
2020
APPROVED
BUDGET
2021
Adjusted
Budget
BAIs
& NBIs
2021
PROPOSED
BUDGET
2021
Budget $
Incr/(Decr)
2021
Budget %
Incr/(Decr)
2020
Forecasted
Actuals
2019
Actuals
2018
Actuals
PROPOSED 2021 HALDIMAND-NORFOLK HEALTH UNIT OPERATING BUDGETMinistry of Health Programs
BUDGET ACTUALS
PROGRAM SUMMARY
6
PROPOSED 2021 BOARD OF HEALTH OPERATING BUDGET Ministry of Children, Community and Social Services Programs
PROGRAM SUMMARY
PROGRAM FUNCTION/SERVICES 1. Healthy Babies Healthy Children (HBHC) is an evidence-based voluntary program for families with children (prenatal to school entry). The
HBHC program was introduced in 1998 across Ontario to support parents during the critical early years of a child’s development helping children get a healthy start in life. This program is funded by the Ministry of Children, Community and Social Services (MCCSS) and is grounded in evidence to be both effective and efficient; families most in need receive the most service. This program:
a. helps children develop and grow b. helps struggling families parent c. helps remove physical, emotional and social barriers for families
PERFORMANCE MEASURES
Measurable Service 2018 2019 2020 as of Sept 30 Healthy Baby/Healthy Children (HBHC) screens (prenatal, postpartum & early childhood)
900 1,023 599
Postpartum families screened with two or more risk factors 63.6% 68.8% 71.0%
Home visits provided to families 1,948 visits with
244 families 2,267 visits with
267 families
1,726 visits with 205 families (estimates for 2020 as these
reports are not available) PRIOR YEAR ACHIEVEMENTS
1. On average, families stay involved with the program for 12 months; this helps to ensure better child health outcomes 2. 86% of families at discharge had achieved their goal of optimal growth and development 3. 81% of families at discharge had achieved their positive parenting goal 4. 86% of families at discharge had achieved their goal of optimal parental health
UPCOMING MAIN OBJECTIVES, INITIATIVES OR MILESTONES
1. Updating policies and procedures to ensure enhanced COVID protocols are in place for any home visits 2. Look into alternative service delivery options where in-person interactions are eliminated or minimized where possible (e.g. online video
conferencing); however, where this is not possible, HBHC will utilize R.A.C.E. (Recognize, Assess, Control, Evaluate) and the hierarchy of controls to reduce potential transmission and exposure opportunities
3. The program began piloting this process with the current staff of 2 Public Health Nurses (PHN) and 4 Family Home Visitors starting in September, with a plan to return to full complement when other PHNs have been trained for COVID related work and additional casual staff have been hired
4. Any meetings with stakeholders and partners will be virtual
7
PROPOSED 2021 BOARD OF HEALTH OPERATING BUDGET Ministry of Children, Community and Social Services Programs
PROGRAM SUMMARY
5. Reviewing current complement of staff working on HBHC from home; striving for a one day/week office day to be implemented to connect with the Program Manager and other HBHC staff and to drop off documents containing personal health information
MAIN BUDGET DRIVERS/SERVICE ENHANCEMENTS Salaries & Benefits: The decrease of $4,200 is a result of savings from 2020 Option #1 Public Health Cost Share offset by economic and merit increases Materials & Supplies: The decrease of $4,100 is a result of reduced mileage ($4,000) which is based on prior year actuals adjusted with the 2021 budget assumption Interdepartmental Charges: The decrease of $12,200 is a result of Ministry of Health programs absorbing the charges and allocating out total costs based on FTEs Finanical: The increase of $10,900 is due to the 2020 budget option #1 placeholder for savings that was realized during the year; these savings have now been allocated to operating cost accounts they relate to, and is therefore no longer provided by the placeholder CHALLENGES, EMERGING TRENDS, SERVICE ISSUES
1. The HNHU’s primary focus is on COVID-19 response and the program was modified so that support was provided to priority cases 2. Program is subject to HNHU service prioritization where staff may be requested to assist with other higher priority services due to a surge
in service request/need (e.g. COVID-19 outbreak/increased cases) 3. Less screens received due to COVID-19, and hospitals not doing BORN (Better Outcomes Registry & Network) screens 4. Due to COVID-19, home visits have been cancelled and in-depth assessments completed during a home visit are now completed over the
telephone; more telephone calls required to be completed, as it takes 2 telephone calls to complete an in-depth assessment over the phone, when it used to take 1 pre-COVID-19 home visit to complete the assessement
8
EXPENDITURES
Salaries & Benefits 786,600 782,400 0 782,400 (4,200) (0.5) 605,000 1,350,095 1,396,686
Materials & Supplies 52,900 48,800 0 48,800 (4,100) (7.8) 19,200 49,698 61,245
Services 16,800 16,600 0 16,600 (200) (1.2) 9,800 25,841 23,315
Interdepartmental Charges 108,000 95,800 0 95,800 (12,200) (11.3) 99,400 179,215 179,988
Financial (10,900) 0 0 0 10,900 100.0 0 0 5,975
Capital 0 0 0 0 0 0.0 0 0 14,731
TOTAL EXPENDITURES 953,400 943,600 0 943,600 (9,800) (1.0) 733,500 1,604,849 1,681,940
REVENUES
Federal/Provincial Grants (892,100) (892,100) 0 (892,100) 0 0.0 (697,300) (1,377,543) (1,542,656)
Fees & Service Charges 0 0 0 0 0 0.0 0 0 (31,882)
Other Revenues (7,400) (7,400) 0 (7,400) 0 0.0 (1,800) (18,592) (21,084)
TOTAL REVENUES (899,500) (899,500) 0 (899,500) 0 0.0 (699,100) (1,396,135) (1,595,622)
NET LEVY REQUIREMENT 53,900 44,100 0 44,100 (9,800) (18.2) 34,400 208,714 86,318
HALDIMAND SHARE 22,000 18,000 0 18,000 (4,000) (18.2) 14,000 85,057 45,450
NORFOLK SHARE 31,900 26,100 0 26,100 (5,800) (18.2) 20,400 123,657 40,868
STAFFING COMPLEMENT 8.10 8.10 0.00 8.10 0.00
2020
APPROVED
BUDGET
2021
Adjusted
Budget
BAIs
& NBIs
2021
PROPOSED
BUDGET
2021
Budget $
Incr/(Decr)
2021
Budget %
Incr/(Decr)
2020
Forecasted
Actuals
2019
Actuals
2018
Actuals
PROPOSED 2021 HALDIMAND-NORFOLK HEALTH UNIT OPERATING BUDGETMinistry of Children, Community and Social Services Programs
BUDGET ACTUALS
PROGRAM SUMMARY
9
PROPOSED 2021 BOARD OF HEALTH OPERATING BUDGET COVID-19 Public Health Programs
PROGRAM SUMMARY
PROGRAM FUNCTION/SERVICES 1. As of March 2020, the Health Unit’s priority and focus has been responding to the COVID-19 pandemic ensuring the safety of our
residents 2. In an effort to centralize staff for COVID-19 pandemic response and operations, office locations were closed and services reduced other
than essential 24/7 response protocols and standards 3. Staff and resources within this team carry on the Health Unit’s efforts to contain the COVID-19 pandemic
PERFORMANCE MEASURES Measurable Service 2020 as of Sep 30
COVID-19 Positive Cases 494 No. of Persons Under Investigation 6,940 Isolation Plans Approved 460 Number of Wellness Checks 1,396 Hotline Calls - Environmental Health Team 4,658 Hotline Calls - COVID-19 11,008 COVID-19 Test Bookings 3,947 Number of COVID-19 Outbreaks 23 Number of COVID-19 Swabs Disbursed 10,616 Grade 7-8 Immunization Clinics 28 Number of Grade 7-8 Children Immunized 354
PRIOR YEAR ACHIEVEMENTS
1. COVID-19 response activities include but are not limited to establishment of hotline to respond to inquiries, complaints and illness, test booking and scheduling, case and contact management, outbreaks assessments and surveillance in relation to congregate settings including Long Term Care Homes/Retirement Homes (LTCH/RH), Hospitals, Schools, Childcare and Agricultural Enterprises, Seasonal Farm Workers isolation plan approvals, and inspections
2. Successfully managed three large-scale COVID-19 outbreaks, one in an Institution and two in Seasonal Housing Settings that directly affected approximately 600 community members
3. The Health Unit partnered with Foreign Agricultural Resource Management Services (FARMS), and Country specific liaison offices to effectuate public health management plans
4. The development of a comprehensive COVID-19 program for Seasonal Farm Workers 5. The health unit collaborated with the Delhi Family Health Team, Grand River Community Centre and Norfolk County Emergency Medical
Services (EMS) to ensure ill seasonal workers were properly assessed and tested for COVID-19 6. Provided support to Assessment and Testing Centers 7. Collaboration and coordination with neighboring health units for an effective COVID-19 response
10
PROPOSED 2021 BOARD OF HEALTH OPERATING BUDGET COVID-19 Public Health Programs
PROGRAM SUMMARY
8. Development of COVID-19 webpage on the HNHU website and resource materials: safety guidance documents for staff, infection control guidance documents for businesses, religious organizations, schools and childcare centers
9. Collaborating with both County departments (Legal, By-law) and Ontario Provincial Police (OPP), to ensure COVID-19 related enforcement protocols for physical distancing and mask wearing were adhered to
10. Implemented the new Ministry of Health (MOH) Case and Contact Management System, called “CCM”, which streamlines case and contact management data for COVID-19 at the local and provincial level
11. Completed Grade 7 & 8 catch-up clinics to ensure completion of immunization series and protection against vaccine preventable diseases UPCOMING MAIN OBJECTIVES, INITIATIVES OR MILESTONES
1. Continuation of COVID-19 pandemic response and operations, in addition to other HNHU strategic priorities 2. Collaborate with Ministry, and municipal partners to plan and deliver mass vaccination clinics for COVID-19 3. Continue to collaborate with Grand River Community Health Centre, local hospitals and EMS to ensure the appropriate assessment and
testing of seasonal farm workers 4. Continue to collaborate with County departments such as Building and Fire to ensure bunkhouses and trailers used as accommodation for
seasonal workers meet the appropriate standards 5. Revise resources for COVID-19 for businesses, religious organizations, schools, childcare centers and the community 6. Continue to work with FARMS and Service Canada to ensure the safe isolation of seasonal farm workers 7. Purchase and implement a new Electronic Monitoring and Records System 8. Continue to prioritize vaccinations for students in Grade 7 & 8 in order to maintain herd immunity rates and decrease the risk of vaccine
preventable disease MAIN BUDGET DRIVERS/SERVICE ENHANCEMENTS CAI HSS-650-2021-066 COVID-19 Response Team: Staff report HSS 20-21 presented to Board of Health on October 27th, 2020 outlined the initiative. A total of 17.20 FTEs were approved including operating costs and an Electronic Medical Records (EMR) system. The one-time program ends June 2022 with EMR operating costs anticipated to continue into the future (outlined within the Ministry of Health programs summary). Total 2021 levy impact from the initiative equals $1,176,500, with the one-time amount included in this summary equal to $1,099,600. An application was submitted to the MOH for extraordinary COVID-19 cost reimbursements, including the COVID-19 response team’s 2020 costs. There is no indication yet from the MOH regarding a 2021 application for reimbursement. CAI HSS-650-2021-065 School-Focused Nurses Initiative: Staff report HSS 20-11 presented to Board of Health on November 3rd, 2020 outlined the initiative. The MOH created the initiative to support additional Nursing FTEs (5.00) in response to the pandemic. The one-time initiative is set to run up to the end of July, 2021 unless further communication regarding an extension is received from the Ministry. The initiative is 100% funded by the Ministry, to a capped amount of $290,600.
11
PROPOSED 2021 BOARD OF HEALTH OPERATING BUDGET COVID-19 Public Health Programs
PROGRAM SUMMARY
CHALLENGES, EMERGING TRENDS, SERVICE ISSUES
1. Continued human resource and financial challenges to sufficiently maintain COVID-19 response during the upcoming year 2. Reopening of office locations and resuming partial service delivery while incorporating enhanced COVID-19 protocols
12
EXPENDITURES
Salaries & Benefits 0 0 2,082,900 2,082,900 2,082,900 100.0 0 0 0
Materials & Supplies 0 0 67,600 67,600 67,600 100.0 0 0 0
Services 0 0 0 0 0 0.0 0 0 0
Interdepartmental Charges 0 0 0 0 0 0.0 0 0 0
Capital 0 0 0 0 0 0.0 0 0 0
TOTAL EXPENDITURES 0 0 2,150,500 2,150,500 2,150,500 100.0 0 0 0
REVENUES
Federal/Provincial Grants 0 0 (290,600) (290,600) 290,600 100.0 0 0 0
TOTAL REVENUES 0 0 (290,600) (290,600) 290,600 100.0 0 0 0
NET LEVY REQUIREMENT 0 0 1,859,900 1,859,900 1,859,900 0.0 0 0 0
HALDIMAND SHARE 0 0 760,300 760,300 760,300 100.0 0 0 0
NORFOLK SHARE 0 0 1,099,600 1,099,600 1,099,600 100.0 0 0 0
STAFFING COMPLEMENT 0.00 0.00 22.20 22.20 22.20
2020
APPROVED
BUDGET
2021
Adjusted
Budget
BAIs
& NBIs
2021
PROPOSED
BUDGET
2021
Budget $
Incr/(Decr)
2021
Budget %
Incr/(Decr)
2020
Forecasted
Actuals
2019
Actuals
2018
Actuals
PROPOSED 2021 HALDIMAND-NORFOLK HEALTH UNIT OPERATING BUDGETCOVID-19 Public Health Programs
BUDGET ACTUALS
PROGRAM SUMMARY
13
Number Name Description2021 Net Levy
Impact ($)
FTEsPage
Number
HSS-650-2021-065 School-Focused Nurses InitiativeHSS 20-11 Annual Service Plan, Budget Submission and Funding Update - Board of Health meeting (Resolution #4 - November 3, 2020).
- 5.00 15
HSS-650-2021-066 COVID-19 Response TeamHSS 20-21 COVID-19 Update and Sustainability Plan-Additional Information - Board of Health meeting (Resolution #6 - October 27, 2020).
1,176,500 17.20 16
HSS-650-2021-067 70/30 Cost Share Mitigation FundingHSS 20-11 Annual Service Plan, Budget Submission and Funding Update - Board of Health meeting (Resolution #4 - November 3, 2020).
(192,400) - 17
HSS-650-2021-071 Harm Reduction Surveillance ProjectHSS 20-26 Public Health Agency of Canada Funding Grant for Harm Reduction Surveillance - Board of Health meeting (January 5, 2021).
- 0.60 18
984,100 22.80 Total Board of Health
PROPOSED 2021 BOARD APPROVED INITIATIVES
14
Proposed 2021 Board-Approved Initiative
HSS-650-2021-065 School-Focused Nurses InitiativeNameSLT Priority
Ranking 1
Department Haldimand Norfolk Health Unit
Strategic Theme
Strategic Direction
Strategic Goal
Health Unit Strategic Plan
Use A Determinants of Health (DOH) Framework to Inform our Practices
Improved health for the residents of Haldimand and Norfolk
Position Type
FTEs
Budget Impact
Temporary Full-Time
5.00
$ 0
Included in Business Plan? Yes
Start Date
End Date
01-August-2020
July 2021
Request Need
New or Existing
Mandatory
Existing Program
DESCRIPTION
HSS 20-11 Annual Service Plan, Budget Submission and Funding Update - Board of Health meeting (Resolution #4 - November 3, 2020).
JUSTIFICATION
The Ministry of Health (MOH) created the School-Focused Nurses Initiative to support additional Nursing FTEs (5.0) in response to the pandemic.
The school-focused nurses will contribute to the following activities in support of school boards and schools:
Providing support in the development and implementation of COVID-19 health and safety plans;Providing sector specific support for infection prevention; surveillance, screening and testing; outbreak management; and, case and contact management; and,Supporting communication and engagement with local school communities, as well as the broader health care sector.
One-time funding must be used by the Board of Health to create new temporary FTEs for school-focused nurses as specified in Schedule A of the Agreement. Funding is for nursing salaries, wages, and benefits only and cannot be used to support other operating costs. Additional costs incurred by the Board of Health to support school re-opening initiatives that cannot be managed within the existing budget of the Board of Health, are admissible through the COVID-19 extraordinary costs process.
FINANCIAL IMPACT
EXPENDITURE AND REVENUE ITEMS
Expenditures:
Salaries and Benefits 290,600
($)
Materials, Supplies and Services
Transfer Payments and Grants to Others
Interdepartmental Charges
Capital Expenditures
Other Expenditures
290,600TOTAL EXPENDITURES
Revenues:
Provincial/Federal Grants/Funding
User Fees and /or Service Charges
Other Recoveries/Collections/Sponsorships/Donations
Transfers from Reserve/Reserve Funds
Interdepartmental Recoveries
Other Revenues
TOTAL REVENUES 290,600
290,600
($)
BUDGET IMPACT 0
ADJUSTMENT FOR FIRST YEAR DEFERRAL 0
2021 NET LEVY IMPACT $ 0
Net Levy Impact $ 0
15
HSS-650-2021-066 COVID-19 Response TeamNameSLT Priority
Ranking 1
Department Haldimand Norfolk Health Unit
Strategic Theme
Strategic Direction
Strategic Goal
Health Unit Strategic Plan
Use A Determinants of Health (DOH) Framework to Inform our Practices
Improved health for the residents of Haldimand and Norfolk
Position Type
FTEs
Budget Impact
Temporary Full-Time
17.20
$ 1,176,500
Included in Business Plan? Yes
Start Date
End Date
01-October-2020
June 2022
Request Need
New or Existing
Business Continuity Requirement
New Program
DESCRIPTION
HSS 20-21 COVID-19 Update and Sustainability Plan-Additional Information - Board of Health meeting (Resolution #6 - October 27, 2020).
JUSTIFICATION
The HNHU (Haldimand-Norfolk Health Unit) and BOH (Board of Health) must continue to be responsive to COVID-19, adapting to response requirements, as well as provincial direction and guidance to manage the pandemic. At the same time, it is imperative that programs and services reopen to continue to protect the population health, not just COVID-19. The added FTEs and Electronic Medical Records (EMR) resources will enable the HNHU to continue to respond to COVID-19 and safely reopen the mandated programs and services outlined in the OPHS (Ontario Public Health Standards). Table 1 outlines the approved scenario, which included 17.20 FTEs.
Table 1 - COVID-19 Response Team Budget
Description Budget ($)
COVID-19 Team Compensation Budget 1,792,300
COVID-19 Team Materials & Supplies Costs 67,600
EMR 130,000
Total 1,989,900
FINANCIAL IMPACT
EXPENDITURE AND REVENUE ITEMS
Expenditures:
Salaries and Benefits 1,792,300
($)
Materials, Supplies and Services 197,600
Transfer Payments and Grants to Others
Interdepartmental Charges
Capital Expenditures
Other Expenditures
1,989,900TOTAL EXPENDITURES
Revenues:
Provincial/Federal Grants/Funding
User Fees and /or Service Charges
Other Recoveries/Collections/Sponsorships/Donations
Transfers from Reserve/Reserve Funds
Interdepartmental Recoveries
Other Revenues
TOTAL REVENUES 813,400
813,400
($)
BUDGET IMPACT 1,176,500
ADJUSTMENT FOR FIRST YEAR DEFERRAL 0
2021 NET LEVY IMPACT $ 1,176,500
Net Levy Impact $ 1,176,500
Proposed 2021 Board-Approved Initiative
16
HSS-650-2021-067 70/30 Cost Share Mitigation FundingNameSLT Priority
Ranking 1
Department Haldimand Norfolk Health Unit
Strategic Theme
Strategic Direction
Strategic Goal
Community
Ongoing Operations
Maintain Current Levels of Service in Operating Departments
Position Type
FTEs
Budget Impact
Not Applicable
0.00
-$ 192,400
Included in Business Plan? No
Start Date
End Date
01-January-2021
December 2021
Request Need
New or Existing
Council Directed
Existing Program
DESCRIPTION
HSS 20-11 Annual Service Plan, Budget Submission and Funding Update - Board of Health meeting (Resolution #4 - November 3, 2020).
JUSTIFICATION
Health Units have been provided one-time funding from the Ministry of Health (MOH) to offset increased Municipal levy costs from the change in cost share concerning the Mandatory and Related programs. The base funding change to 70/30 from 75/25 (Mandatory programs) and 100/0 (Related programs) is equal to the one-time funding amount. At this point staff anticipate the 2022 funding allocation from the MOH will include only the 70/30 base amount. The Board of Health will be updated once the Ministry has communicated 2022 funding allocations. The funding has been presented within the CAI package to ensure the Board of Health is aware it is one-time funding that is for the 2021 calendar year. The mitigation funding represents a Health Unit levy savings of 7.1%. Table 1 outlines the Health Unit levy impact had mitigation funding not been allocated by the MOH.
Table 1 - Budget Impact without Mitigation Funding
DescriptionHaldimand
Share ($)Norfolk
Share ($) Total ($)
Proposed 2021 HNHU Net Levy with Mitigation Funding 1,874,100 2,710,400 4,584,500
One-Time Mitigation Funding Impact 133,000 192,400 325,400
Proposed 2021 HNHU Net Levy without Mitigation Funding 2,007,100 2,902,800 4,909,900
FINANCIAL IMPACT
EXPENDITURE AND REVENUE ITEMS
Expenditures:
Salaries and Benefits
($)
Materials, Supplies and Services
Transfer Payments and Grants to Others
Interdepartmental Charges
Capital Expenditures
Other Expenditures
0TOTAL EXPENDITURES
Revenues:
Provincial/Federal Grants/Funding
User Fees and /or Service Charges
Other Recoveries/Collections/Sponsorships/Donations
Transfers from Reserve/Reserve Funds
Interdepartmental Recoveries
Other Revenues
TOTAL REVENUES 192,400
(133,000)
325,400
($)
BUDGET IMPACT (192,400)
ADJUSTMENT FOR FIRST YEAR DEFERRAL 0
2021 NET LEVY IMPACT ($ 192,400)
Net Levy Impact -$ 192,400
Proposed 2021 Board-Approved Initiative
17
HSS-650-2021-071 Harm Reduction Surveillance ProjectNameSLT Priority
Ranking 1
Department Haldimand Norfolk Health Unit
Strategic Theme
Strategic Direction
Strategic Goal
Health Unit Strategic Plan
Use A Determinants of Health (DOH) Framework to Inform our Practices
Improved health for the residents of Haldimand and Norfolk
Position Type
FTEs
Budget Impact
Temporary Part-Time
0.60
$ 0
Included in Business Plan? Yes
Start Date
End Date
01-January-2021
March 2022
Request Need
New or Existing
Business Continuity Requirement
New Program
DESCRIPTION
HSS 20-26 Public Health Agency of Canada Funding Grant for Harm Reduction Surveillance - Board of Health meeting (January 5, 2021).
JUSTIFICATION
The Public Health Agency of Canada (PHAC) has provided one-time funding support to the Haldimand-Norfolk Health Unit (HNHU) harm reduction team’s effort in surveillance measures of fatal and non-fatal drug-related harms. The report advised the Board of Health (BOH) about the capital-funding grant for the adaptation of a surveillance tool to track substance use related harms in Haldimand and Norfolk counties, and requested approval for the recruitment of one (0.6 FTE) Temporary Part-Time staff for the implementation of the project.
FINANCIAL IMPACT
EXPENDITURE AND REVENUE ITEMS
Expenditures:
Salaries and Benefits 75,000
($)
Materials, Supplies and Services 5,000
Transfer Payments and Grants to Others
Interdepartmental Charges
Capital Expenditures
Other Expenditures
80,000TOTAL EXPENDITURES
Revenues:
Provincial/Federal Grants/Funding
User Fees and /or Service Charges
Other Recoveries/Collections/Sponsorships/Donations
Transfers from Reserve/Reserve Funds
Interdepartmental Recoveries
Other Revenues
TOTAL REVENUES 80,000
80,000
($)
BUDGET IMPACT 0
ADJUSTMENT FOR FIRST YEAR DEFERRAL 0
2021 NET LEVY IMPACT $ 0
Net Levy Impact $ 0
Proposed 2021 Board-Approved Initiative
18